Friday, 20 September 2013

Common Surgery Practices That Should Stop

American College of Surgeons recommended the following 5 recommendations:

1.      Don't perform axillary lymph node dissection for clinical stages I and II breast cancer with clinically negative lymph nodes without attempting sentinel node biopsy.

2.      Avoid the routine use of 'whole-body' diagnostic computed tomography (CT) scanning in patients with minor or single system trauma.

3.      Avoid colorectal cancer screening tests on asymptomatic patients with a life expectancy of less than 10 years and no family or personal history of colorectal neoplasia.

4.      Avoid admission or preoperative chest x-rays for ambulatory patients with unremarkable history and physical exam.



5.      Don't do computed tomography (CT) for the evaluation of suspected appendicitis in children until after ultrasound has been considered as an option.

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